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5岁以下流动儿童的健康和卫生服务利用状况 被引量:9

Health status and health service utilization of migrant children under 5
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摘要 目的了解流动人口中5岁以下儿童健康状况和卫生服务利用情况及存在的问题,为改善流动儿童健康状况提供依据。方法利用2013年第5次国家卫生服务调查的数据,分析流动人口中的5岁以下儿童的患病、治疗、住院以及公共卫生服务情况。结果流动人口中的儿童两周患病率为15.0%,高于城乡居民中的5岁以下儿童(城市11.5%,农村9.9%),以患呼吸系统疾病为主,占总患病的83.3%,与常住儿童相比,流动儿童急性呼吸系统疾病和腹泻的患病率均高;患病后,79.2%的流动儿童家长带孩子去就诊,20.8%的采取了自我医疗,自我医疗的比例高于城乡居民中的5岁以下儿童(城市15.6%,农村11.7%);流动儿童住院率低,为5.6%。(全国城市7.4%,全国农村9.5%),应住院未住院的比例为15.3%,远高于城乡居民中的5岁以下儿童(城市6.9%,农村6.3%);公共卫生状况较好,体检率、建卡率和计划免疫接种率均与城乡居民中的儿童接近,维持在较高的水平。结论充分发挥社区作用,提高家长的意识,加强对流动儿童身心健康的关注,提高卫生服务利用水平,促进流动儿童健康成长。 Objective To learn about health status, health utilization and problem of children under 5 in migrant popu- lation, and to provide evidence for promoting health status of them. Methods Using the data of the 5th China national health services survey in 2013, we analyzed the morbidity, treatment, hospitalization, and utilization of public health service. Results Two-week morbidity rate of migrant children was 15% , higher than general children ( 11.5% in urban, 9.9% in rural), and 83.3% of two-week disease was ARI. ,Morbidity rates of ARI and diarrhea were higher than those of general children. 79. 2% of two-week illness children saw doctors, and 20.8% used self-treatment. The proportion of self-treatment was higher than that of general children (15.6% in urban, 11.7% in rural). Hospitalization rate of migrant children was 5.6%, lower than that of general children (7.4% in urban, 9.5% in rural). The proportion that should be hospitalized while without hospitalization was 15.3% , higher than that of general children (6.9% in urban, 6.3% in rural). Public health status was good. Physical exami- nation rate and planned immunization rate were at high level, approach to general children. Conclusion We should develop the function of community health service institution, advance the consciousness of parents, pay more attention to migrant children's physical and psychological health, increase utilization of health services, and promote migrant children's health status.
出处 《中国医院统计》 2016年第4期241-244,共4页 Chinese Journal of Hospital Statistics
关键词 第5次国家卫生服务调查 流动儿童 健康状况 5th national health services survey migrant children health status
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